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    <div class="act"><b>活动主题</b>：活动里程5折抢购</div>
    <div class="act"><b>活动时间</b>：2017年8月1日-2017年9月25日</div>
    <div class="content">
        <div class="basic"><span class="color">*</span><b>基本资料填写</b></div>
        <div class="frame">
            <span class="name">姓名：</span>
            <div class="input">
                <input type="text" placeholder="填写真实姓名">
            </div>
        </div>  
        <div class="frame">
            <span class="name">性别：</span>
            <div class="input">
                <span class="gender active"><span class="circular"></span>男</span>
                <span class="gender"><span class="circular"></span>女</span>
            </div>
        </div> 
        <div class="frame">
            <span class="name">联系电话：</span>
            <div class="input">
                <input type="text" placeholder="+86">
            </div>
        </div> 
        <div class="frame">
            <span class="name">单位名称：</span>
            <div class="input">
                <input type="text">
            </div>
        </div> 
        <div class="frame">
            <span class="name">工牌号：</span>
            <div class="input">
                <input type="text">
            </div>
        </div> 
        <div class="submit">提交申请</div> 
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